Risk Factor Targeted Perioperative Care Reduces Anastomotic Leakage after Colorectal Surgery: The DoubleCheck study.

Objective: The DoubleCheck study aimed to introduce pre- and perioperative interventions minimizing exposure to modifiable risk factors and determine its effect on CAL.

Summary Background Data: Colorectal anastomotic leakage (CAL) is a severe complication. In order to predict and prevent its occurrence, the LekCheck study identified intraoperative modifiable risk factors for CAL: anemia, hyperglycemia, hypothermia, incorrect timing of antibiotic prophylaxis, administration of vasopressors and epidural analgesia.

Unraveling dispersion and buoyancy dynamics around radial A + B → C reaction fronts: microgravity experiments and numerical simulations.

Radial Reaction-Diffusion-Advection (RDA) fronts for A + B → C reactions find wide applications in many natural and technological processes. In liquid solutions, their dynamics can be perturbed by buoyancy-driven convection due to concentration gradients across the front. In this context, we conducted microgravity experiments aboard a sounding rocket, in order to disentangle dispersion and buoyancy effects in such fronts.

Intraoperative conditions of patients undergoing pancreatoduodenectomy.

Background: Postoperative pancreatic fistula (POPF) is a severe complication following pancreatoduodenectomy (PD). Previous research in colorectal surgery demonstrated suboptimal intraoperative conditions to be related with an increased risk of anastomotic leakage. Aim of this study was to evaluate the intraoperative condition of patients undergoing PD by both assessing whether these known intraoperative modifiable risk factors in colorectal surgery are also present during PD and by measuring compliance to intraoperative ERAS guidelines.

Chemobrionics: From Self-Assembled Material Architectures to the Origin of Life.

Self-organizing precipitation processes, such as chemical gardens forming biomimetic micro- and nanotubular forms, have the potential to show us new fundamental science to explore, quantify, and understand nonequilibrium physicochemical systems, and shed light on the conditions for life's emergence. The physics and chemistry of these phenomena, due to the assembly of material architectures under a flux of ions, and their exploitation in applications, have recently been termed chemobrionics. Advances in understanding in this area require a combination of expertise in physics, chemistry, mathematical modeling, biology, and nanoengineering, as well as in complex systems and nonlinear and materials sciences, giving rise to this new synergistic discipline of chemobrionics.

Influence of microscopic precipitate structures on macroscopic pattern formation in reactive flows in a confined geometry.

Thanks to the coupling between chemical precipitation reactions and hydrodynamics, new dynamic phenomena may be obtained and new types of materials can be synthesized. Here we experimentally investigate how the characteristic microscopic crystal properties affect the macroscopic pattern obtained. To shed light on such interactions, different reactant solutions are radially injected into a calcium chloride solution at different volumetric flow rates in a confined geometry.

Filament dynamics in confined chemical gardens and in filiform corrosion.

Two reaction systems that are at first sight very different produce similar macroscopic filamentary product trails. The systems are chemical gardens confined to a Hele-Shaw cell and corroding metal plates that undergo filiform corrosion. We show that the two systems are in fact very much alike.

Convective dynamics of traveling autocatalytic fronts in a modulated gravity field.

When traveling in thin solution layers, autocatalytic chemical fronts may be deformed and accelerated by convective currents that develop because of density and surface tension gradients related to concentration and thermal gradients across the front. On earth, both buoyancy and Marangoni related flows can act in solution layers open to the air while only buoyancy effects operate in covered liquid layers. The respective effects of density and surface tension induced convective motions are analysed here by studying experimentally the propagation of autocatalytic fronts in uncovered and covered liquid layers during parabolic flights in which the gravity field is modulated periodically.

A + B → C reaction fronts in Hele-Shaw cells under modulated gravitational acceleration.

The dynamics of A + B → C reaction fronts is studied under modulated gravitational acceleration by means of a combination of parabolic flight experiments and numerical simulations. During modulated gravity the front position undergoes periodic modulation with an accelerated front propagation under hyper-gravity together with a slowing down under low gravity. The underlying reason for this is an amplification and a decay, respectively, of the buoyancy-driven double vortex associated with the front propagation under standard gravitational acceleration, as explained by reaction-diffusion-convection simulations of convection around an A + B → C front.